Individual
KATE ASHLEY MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2919 S ELLSWORTH RD, MESA, AZ 85212-2164
(928) 301-0604
Mailing address
2919 S ELLSWORTH RD, MESA, AZ 85212-2164
(928) 301-0604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4528
AZ
Other
Enumeration date
10/01/2009
Last updated
02/12/2013
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